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Cultural competence in healthcare essays
Cultural competence in healthcare essays
Cultural competence in health care importance
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AHLO/ALO The Aboriginal Hospital Liaison Officers (AHLO) provides cultural, emotional, and clinical support to Aboriginal patients and families. Their role is to provide cultural support and advocacy for Aboriginal patients to ensure that their safety and care is culturally appropriate. Whilst demonstrating acts of kindness and hostility, the patient’s needs are being met. AHLO is employed in hospitals so that Aboriginals have equitable access to health care services, which in turn can increase cultural awareness and sensitivity of health care services to Aboriginal families. It ensures that Aboriginal individuals and families receive culturally appropriate information in order for patients and families to understand medical procedures. …show more content…
This culturally appropriate care allows the 58-year-old man to expand his knowledge and awareness of his diabetes condition. The man may feel he is appropriately assisted and communicated so he can understand ways to improve his condition, resulting him to feel holistic. Healthcare professionals are there to demonstrate their empathy for his needs and help him ensure he is understanding the medical processes involved. With the provision of face-to-face interaction, it allows both the man and AHLO to connect and develop a relationship. This indicates the man the feel supported and trusted that he is able to share his thoughts and needs. VAHS The Victorian Aboriginal Health Service (VAHS) provides a holistic approach towards Aboriginals in a culturally appropriate way.
VAHS provides services called ‘’Men’s Unit’’ and the help of health professionals to improve people’s conditions including the man’s diabetes. Specifically, ‘‘Men’s Unit’’ focuses on counselling, wellbeing and case management. Counselling enables the man to manage his emotions, to feel connected to himself and to direct him to a clearer future. Case managers are advocates who help people like the Aboriginal man to understand his current health status and what he can do to resolve it. They provide culturally appropriate information as to why support and receiving treatment are vitally important. Furthermore, they help motivate patients by guiding them to achieve their goals more effectively. This resource aids the man to be informative in his own way and to also make him feel holistic. VAHS consist of multiple health professionals including dietitians to educate the man what sources of nutrition he should and should not be consumed. The dietitian assesses the man to help alleviate his diabetes. The dietitian develops a food plan to help improve his health and also counsels him to develop a clear mind to focus that he is meeting proper nutritional requirements, resulting him to improve his mental health. The wellbeing of the 58-year old man will significantly improve his quality of life and independent living. With the help of staff, their support …show more content…
can help the man improve his condition and avoid further health decline. AHW An Aboriginal Health Worker (AHW) provides high quality clinical care and conveys a mix of knowledge and skills.
They demonstrate the importance of compassion and non-judgemental care in relation to their Code of Ethics where they must follow its requirements. Their role is to respect and value a patient’s background, beliefs, values and most importantly, develop a safe cultural environment for them. Their role also provides better access, liaison, health promotion and preventative health services to the Aboriginal community. AHW have an adequate understanding of Aboriginal history which also helps to interact with Aboriginals and empathise their experiences. Aboriginal Health Workers work collaboratively to achieve better health outcomes for Aboriginal people and develops an appropriate relationship towards Aboriginal patients, including the 58 year old man; to allow him to share his emotions and thoughts. They demonstrate simple acts of kindness and gentleness to make people feel comfortable and safe. They educate Aboriginals who have urgent needs and concerns to help protect their health in a culturally appropriate manner. The AHW’s ability allows to culturally connect with Aboriginal patients relate to each other’s experience and develop solutions in overcoming the situation, this helps reduce the imbalance discrimination and cultural safety within a hospital environment. Their sympathetic care empowers the patient’s feeling to be safe and
comfortable. Education for nurses and patients Specifically, health promotion programs provide culturally appropriate information to specific groups such as Aboriginal communities to ensure they receive the correct information. More importantly, health promotion programs such as, ‘Life!’ is implemented by Aboriginal workers to educate other Aboriginals to consume healthier food and to be physically active in order to reduce the risk of developing diseases including diabetes. In relation to the 58-year old man, ‘Life!’ helps him choose healthier habits in an attempt to prevent his uncontrolled diabetes. The program will explain to him in a way he can culturally understand the importance of the different variety of foods that affect his health, which food is affordable yet nutritional, and how to choose healthier foods. This encourages the man to make better decisions and to have a healthier lifestyle. Hence, health promotion programs are a way for nurses to introduce to patients to promote good health. It enhances the patient’s trust and to feel holistic due to the provision of resourceful information. The program educates both nurse and patient to empower their understanding and their knowledge of health behaviour in achieving to overcome health issues such as diabetes. Furthermore, in future, they will pass their ability to others so that future nurses and Aboriginals are aware of health conditions. Health promotion programs enhance people's knowledge and ability to understand Aboriginal health, therefore demonstrates to treat Aboriginal patients holistically in a hospital environment.
...fficient training for health workers, communication barriers, a general mistrust in the health care system and culture shock has contributed to issues in delivering services to many Indigenous communities. The reason to why these issues have emerged is a result of two main factors, the lack of health services that are needed to address the issue and the silence of Indigenous communities which leads to misunderstanding between the government and Indigenous communities. Indigenous Australian’s experience this major disadvantage and neglect in the Australian society due to the poor healthcare system and policies that haven’t had a positive effect on the issue. For the issue of Indigenous health to be resolved, the Government and social policies need to address and meet the need of Indigenous people to overcome the poor health conditions that these communities suffer.
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
Firstly, gender disparity plays a significant role in aboriginal health, especially in the administration of health care. In Aboriginal culture, there are certain health practices that can only be done by either men or women, but not all (Bonvillain, 2001). In most cases, women are treated by their female counterparts whereas male doctors handle male patients. This means that a male doctor cannot undertake a vaginal inspection and a female nurse cannot teach an aboriginal man about self-catheterization. As a result, a breach of this traditional gender division, for instance a male doctor helping a woman in emergencies, is likely to cause shame, distress, depression, and fear of breaking a particular taboo (Freud, 2000).
The four ethical virtues of health care must be shown, compassion, discernment, integrity and trustworthiness. Respecting a person’s autonomy understanding and acting on the belief the people have the right decision to make decisions and take action based on their beliefs and value systems. The ethical issues that would be encountered will be to treat each person with passion and respect regardless of sex, race, and religious preference. The environment has no human rights violations, sustains nursing ethical
In Canada, access to health care is ‘universal’ to its citizens under the Canadian Health Care Act and this system is considered to the one of the best in the world (Laurel & Richard, 2002). Access to health care is assumed on the strong social value of equality and is defined as the distribution of services to all those in need and for the common good and health of all residents (Fierlbeck, 2011). Equitable access to health care does not mean that all citizens are subjected to receive the same number of services but rather that wherever the service is provided it is based on need. Therefore, not all Canadians have equal access to health services. The Aboriginal peoples in Canada in particular are a population that is overlooked and underserved
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
Aboriginal and Torres Strait Islanders have some of the worst health outcomes in comparison to any other indigenous community in the world (AIHW, 2011). According to United Nations official Anand Grover, Aboriginal health conditions are even worse than some Third World countries (Arup & Sharp, 2009), which is astonishing, considering Australia is one of the worlds wealthiest countries. Thoroughly identifying the causes and analysing every aspect behind poor health of indigenous Australians, and Australian health in general, is near impossible due to the complexity and abundant layers of this issue. Even within the category of social determinants, it is hard to distinguish just one factor, due to so many which interrelate and correspond with each other. The aim of this essay is to firstly identify and analyse components of the social determinants of health that impact the wellbeing of Aboriginals and Torres Strait Islanders, and demonstrate how they overlap with each other. By analysing the inequalities in health of Aboriginal and non-indigenous Australians, positive health interventions will then be addressed. Racism and the consequences it has on Indigenous health and wellbeing will be discussed, followed by an analysis of how and why social class and status is considered a determining factor when studying the health of the Aboriginal population. The issue relating ...
...ir personal encounters with Aboriginal classmates that they might have had in high school. Life experiences, parental upbringing, ethnic roots, social status and education all shape nursing practices. Nurses and other health care professionals are trained in institutions that fail to recognise the socio-political injustices that occur in health care settings. In addition to this, their experiences in their work and in their personal lives and communities, they already have opinions about certain groups of people. “Cultural safety would encourage nurses to question popular notions of culture and cultural differences, to be more aware of the dominant social assumptions that misrepresent certain people and groups, and to reflect critically on the wider social discourses that inevitably influence nurses’ interpretive perspectives and practices” (Browne, 2009, p. 21).
http://www.humanrights.gov.au/racial_discrimination/consultations/consultations.html. Martin, B (1981) A sociology of contemporary cultural change, Basil Blackwell Publishers, Oxford, England. McGuire T, Houston S, Rohwedder E, Montague G. (1998) Identifying Aboriginal person care in hospitals and Medicare documentation, Health Department of Western Australia, Perth.
Ever since the foundations of modern Australia were laid; there has been a disparity between the health status of Aboriginal and Torres Strait Islanders and rest of the Australian community (Australian human rights commission, n.d.). This essay will discuss how this gap can be traced back to the discriminatory policies enacted by governments towards Aboriginal and Torres Strait Islander’s throughout history. Their existing impacts will be examined by considering the social determinants of health. These are the contemporary psycho-social factors which indirectly influence health (Kingsley, Aldous, Townsend, Phillips & Henderson-Wilson, 2009). It will be evaluated how the historic maltreatment of Aboriginal people leads to their existing predicament concerning health.
Thank you for taking time to read my letter. As a nursing student of University of Technology Sydney, I studied contemporary indigenous subject this semester. In this letter I want to illustrate 3 main social determinants of health that impact indigenous Australian health which I found and analysed during my recently study. And also offer some suggestion that could help the government improve aboriginal Australian mental health conditions in the future.
I believe that we should always think of others needs and do no harm to others even if they have harmed you in some way. I treat others the way that I would want them to treat me and I expect that others will treat me the same way. I understand that not everyone feels the same as I do and that I cannot control the way that others decide to treat me. I show compassion for everyone I come in contact with and I treat every patient the same way despite the fact that they may be unruly or even try to hurt me. I have accepted the fact that there are some people out there who will try to hurt me despite the fact that all I want to do is help them. I feel that everyone in the health care profession should feel the same way as I do and try to keep themselves from losing their mercy that they show towards others. After being in the health care field for so long, many people stop caring for others and become detached from the patients. I agree that we cannot take every case personally but we still need to retain our humanity and continue to show compassion to fellow
“Nursing encompasses an art, a humanistic orientation, a feeling for the value of the individual, and an intuitive sense of ethics, and of the appropriateness of action taken’, said Myrtle Aydelott (Hammarskjold, 2000). Nurses have our patients trust with their lives every day. These patients have needs that must be understood and met, whether; physical, psychological, or emotional. Nurses must provide nonjudgmental care to those in need, regardless of culture, religion, lifestyle choices, financial status, or hues of the human race. To quote Jean Watson, nursing theorist, “I am here to care for others, regardless of where they came from” (Hammarskjold, 2000). I believe that the nursing profession chose me because I have always had a calling to help those in need. Nursing
In order for nurses to practice ethically they must understand the meaning behind each professional value. The first value is human dignity. With each patient we encounter we must show them respect as individuals. It does not matter what the medical condition is, race, ethnicity, culture, religion or gender of the individual. The dignity of a person must be protected. As nurses we must respect the uniqueness of each individual we care for, as this is a fundamental right of all humans. A person with dignity feels a sense of self-worth and as nurses we must do our best to help our patients maintain that feeling of worthiness.
Department of Health South Australia. (2004). Cultural Respect Framework for Aboriginal and Torres Strait Islander Health. Australian Health Ministers’ Advisory Council. Standing Committee on Aboriginal and Torres Strait Islander Health Working Party